Itch and Burning Pain in Women with Partial Vaginismus with or without Vulvar Vestibulitis

Engman, Maria; Wijma, Klaas; Wijma, Barbro

doi:10.1080/00926230601098506

Cited by 14 publications

(13 citation statements)

References 22 publications

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“…The majority of women diagnosed with vaginismus also experience vulvar pain upon gynecological examination (e.g., Basson, 1996;de Kruiff, ter Kuile, Weijenborg, & van Lankveld, 2000;Engman et al, 2007Engman et al, , 2008Kaneko, 2001;Reissing et al, 2004). This vulvar pain is typically diagnosed as VVS.…”

Section: Painmentioning

confidence: 97%

“…In two published studies and a doctoral thesis (Engman, 2007;Engman, Wijma, & Wijma, 2007, women were classified with partial vaginismus with or without additional diagnoses of VVS. In this clinical sample of 224 women, there was great overlap between the diagnoses of partial vaginismus and VVS, i.e., all women diagnosed with VVS also met criteria for partial vaginismus.…”

Section: Partial Vs Total Vaginismusmentioning

confidence: 99%

See 1 more Smart Citation

The DSM Diagnostic Criteria for Vaginismus

Binik

2009

Arch Sex Behav

121

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Vaginal spasm has been considered the defining diagnostic characteristic of vaginismus for approximately 150 years. This remarkable consensus, based primarily on expert clinical opinion, is preserved in the DSM-IV-TR. The available empirical research, however, does not support this definition nor does it support the validity of the DSM-IV-TR distinction between vaginismus and dyspareunia. The small body of research concerning other possible ways or methods of diagnosing vaginismus is critically reviewed. Based on this review, it is proposed that the diagnoses of vaginismus and dyspareunia be collapsed into a single diagnostic entity called "genito-pelvic pain/penetration disorder." This diagnostic category is defined according to the following five dimensions: percentage success of vaginal penetration; pain with vaginal penetration; fear of vaginal penetration or of genito-pelvic pain during vaginal penetration; pelvic floor muscle dysfunction; medical co-morbidity.

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Section: Painmentioning

confidence: 97%

Section: Partial Vs Total Vaginismusmentioning

confidence: 99%

The DSM Diagnostic Criteria for Vaginismus

Binik

2009

Arch Sex Behav

121

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“…Many researchers have studied prevalence, 1 psychopathology 2 and pathophysiology 3 in females with vaginismus. Others have inquired into the effectivity of cognitive behavioral therapy, 4,5 physiotherapy 6 and combined treatment options to treat vaginismus.…”

Section: Introductionmentioning

confidence: 99%

The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample

Doğan

2007

Int J Impot Res

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The aim of this investigation is to determine the sexual history traits, sexual satisfaction level and frequency of sexual dysfunctions in men whose partners have vaginismus. The study included 32 male partners of vaginismic patients, who presented at a psychiatry department. Subjects were evaluated by a semi-structured questionnaire. The questionnaire was developed by researchers for assessing sexually dysfunctional patients and included detailed questions with regard to sociodemographic variables, general medical and sexual history. All participants also received the Golombok Rust Inventory of Sexual Satisfaction (GRISS). According to DSM-IV-TR criteria, 65.6% of the investigated males were diagnosed with one or more sexual dysfunctions. The most common problem was premature ejaculation (50%) and the second one was erectile dysfunction (28%). The transformed GRISS subscale scores provided similar data. It is concluded that the assessment of sexual functions of males who have vaginismic partners should be an integral part of the management procedure of vaginismus for optimal outcome.

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“…Aún cuando el vaginismo se puede asociar a V, es necesario diferenciarlo (50). Igualmente puede agregarse dispareunia, produciendo dolor durante el coito.…”

Section: Diagnóstico Diferencialunclassified

Vulvodinia: Un Diagnóstico Olvidado Frente Al Dolor Vulvar

2010

Rev. chil. obstet. ginecol.

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RESUMENLa vulvodinia es una patología compleja y de difícil tratamiento. Se define como un dolor crónico de la vulva, que puede ser generalizado o localizado. La primera vez que se escribe sobre esta fue en 1889, por Skene. Sin embargo, es sólo hasta 1976, que los miembros de la International Society for Study of Vulvovaginal Diseases, reconocieron el dolor vulvar como una entidad patológica. Se estima una prevalencia de un 15%, con unas 14 millones de mujeres que lo padecen en EEUU. Generalmente consultan múltiples veces y a diferentes médicos, antes de llegar a un diagnóstico. No existen pruebas específicas, por lo que la clínica y el examen físico son las principales herramientas. Se deben excluir todas aquellas patologías que explican este dolor crónico vulvar. Su etiología es multifactorial, involucrando cambios a nivel de nociceptores, alteraciones de la inervación y la presencia de factores inflamatorios. Sin embargo, no podemos dejar de lado los aspectos psicosexuales, que pueden modular o desencadenar el dolor vulvar, al encontrar un sustrato alterado a nivel de estos tejidos. Basándose en estos aspectos, hoy existen diferentes tratamientos, que son efectivos si los utilizamos asociados y en forma gradual, ya que se potencian entre ellos. PALABRAS CLAVE: Dolor vulvar, vulvodinia, disestesia vulvar, dolor vulvar crónico, vestibulitis vulvar SUMMARYVulvodynia is a complex pathology and difficult to treat. In 1889 Skene was the first who write about this. However, only until 1976 the members of the International Society for Study of Vulvovaginal Diseases, recognized the vulvar pain as a disease entity. Prevalence estimated at 15% with an estimated 14 million women who suffer in the USA. A high number of gynaecologists do not know this diagnosis. For this reason women consult multiple times and to different doctors to reach a diagnosis. There are no specific tests for diagnosis. Finding in the clinical and physical examination are the main tools for this diagnosis. The different pathologies that could explain the presence of a chronic vulvar pain must be excluded. Undoubtedly its aetiology is multifactorial, involving changes in the number of nociceptors and alterations in the innervations, and the presence of inflammatory factors that may be the starting point of this pathology, as it seeks to explain the neuropathic theory. However we can not ignore the psychosomatic theory in explaining the psychosexual disorders as a trigger vulvar pain, in these altered tissues. Based on these aspects there are now treatments that are more or less effective when are gradually associated for better results.

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Itch and Burning Pain in Women with Partial Vaginismus with or without Vulvar Vestibulitis

Cited by 14 publications

References 22 publications

The DSM Diagnostic Criteria for Vaginismus

The DSM Diagnostic Criteria for Vaginismus

The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample

Vulvodinia: Un Diagnóstico Olvidado Frente Al Dolor Vulvar

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